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动脉粥样硬化样自发性大脑中动脉夹层

Atherosclerosis-Like Spontaneous Middle Cerebral Artery Dissection.

作者信息

Wattanasen Yodkhwan, Komonchan Surasak

机构信息

Department of Radiology, Neurological Institute of Thailand, Bangkok, Thailand.

Department of Neurology, Neurological Institute of Thailand, Bangkok, Thailand.

出版信息

Asian J Neurosurg. 2024 Jun 7;19(2):342-346. doi: 10.1055/s-0044-1787534. eCollection 2024 Jun.

DOI:10.1055/s-0044-1787534
PMID:38974430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11226288/
Abstract

The standard of care for treating acute large vessel occlusion is endovascular therapy. The most frequent cause of occlusion is either embolic occlusion or in situ thrombotic occlusion. However, occlusion resulting from intracranial dissection is extremely rare, especially in the middle cerebral artery. Prior to a thrombectomy or endovascular therapy, understanding and interpreting the angiographic findings is crucial for planning the appropriate treatment and preventing complications.

摘要

治疗急性大血管闭塞的标准治疗方法是血管内治疗。闭塞最常见的原因是栓塞性闭塞或原位血栓形成性闭塞。然而，颅内夹层导致的闭塞极为罕见，尤其是在大脑中动脉。在进行血栓切除术或血管内治疗之前，理解和解读血管造影结果对于规划适当的治疗和预防并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/06b6d4ccedee/10-1055-s-0044-1787534-i2420011-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/5b16c7492008/10-1055-s-0044-1787534-i2420011-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/d18494865c85/10-1055-s-0044-1787534-i2420011-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/c945a5ebc18e/10-1055-s-0044-1787534-i2420011-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/6873c0bb7d45/10-1055-s-0044-1787534-i2420011-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/06b6d4ccedee/10-1055-s-0044-1787534-i2420011-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/5b16c7492008/10-1055-s-0044-1787534-i2420011-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/d18494865c85/10-1055-s-0044-1787534-i2420011-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/c945a5ebc18e/10-1055-s-0044-1787534-i2420011-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/6873c0bb7d45/10-1055-s-0044-1787534-i2420011-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c995/11226288/06b6d4ccedee/10-1055-s-0044-1787534-i2420011-5.jpg

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本文引用的文献

1
Endovascular Approach in Patients with Acute Complete Occlusion Due to Middle Cerebral Artery Dissection.大脑中动脉夹层所致急性完全闭塞患者的血管内治疗方法
J Korean Neurosurg Soc. 2020 Nov;63(6):717-722. doi: 10.3340/jkns.2020.0053. Epub 2020 Oct 27.
2
Intracranial dissections: A pictorial review of pathophysiology, imaging features, and natural history.颅内夹层：病理生理学、影像学特征和自然史的图示回顾。
J Neuroradiol. 2021 May;48(3):176-188. doi: 10.1016/j.neurad.2020.03.007. Epub 2020 Apr 23.
3
Diagnosis of Intracranial Artery Dissection.
颅内动脉夹层的诊断
Neurol Med Chir (Tokyo). 2016 Sep 15;56(9):524-33. doi: 10.2176/nmc.ra.2015-0294. Epub 2016 May 13.
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Isolated middle cerebral artery dissection: a systematic review.孤立性大脑中动脉夹层：一项系统评价。
Int J Emerg Med. 2014 Dec 17;7(1):44. doi: 10.1186/s12245-014-0044-1. eCollection 2014.
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High-resolution magnetic resonance imaging of symptomatic middle cerebral artery dissection.有症状的大脑中动脉夹层的高分辨率磁共振成像。
J Stroke Cerebrovasc Dis. 2014 Mar;23(3):550-3. doi: 10.1016/j.jstrokecerebrovasdis.2013.03.019. Epub 2013 Apr 28.
6
Outer contour of middle cerebral artery revealed by sylvian vallecula-parallel anatomic scanning-magnetic resonance imaging: a method useful for detecting dissection.外侧裂平行解剖扫描磁共振成像显示大脑中动脉的外轮廓：一种用于检测夹层的有用方法。
Arch Neurol. 2010 Oct;67(10):1278-9. doi: 10.1001/archneurol.2010.238.
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The many faces of intracranial arterial dissections.颅内动脉夹层的多种表现
Interv Neuroradiol. 2010 Jun;16(2):151-60. doi: 10.1177/159101991001600206. Epub 2010 Jul 19.
8
Two cases of spontaneous middle cerebral arterial dissection causing ischemic stroke.两例自发性大脑中动脉夹层导致缺血性中风。
J Neurol Sci. 2006 Dec 1;250(1-2):162-6. doi: 10.1016/j.jns.2006.07.006. Epub 2006 Sep 12.
9
Middle cerebral artery dissections: differences between isolated and extended dissections of internal carotid artery.大脑中动脉夹层：颈内动脉孤立性夹层与扩展性夹层的差异
J Neurol Sci. 2005 Aug 15;235(1-2):37-44. doi: 10.1016/j.jns.2005.03.047.
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Traumatic middle cerebral artery occlusion: case report and review of pathogenesis.
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